ABSTRACT
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Subject(s)
Humans , Male , Aged, 80 and over , Mediastinal Emphysema/complications , Coronavirus Infections/complications , Pneumonia, Bacterial/etiology , Coronavirus Infections/therapy , Pneumonia, Bacterial/drug therapy , Oxygen Inhalation Therapy/methods , Methylprednisolone/administration & dosage , Immunoglobulins/administration & dosage , Fibrosis/diagnostic imaging , Tomography, X-Ray Computed , Mediastinal Emphysema/diagnostic imagingABSTRACT
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Subject(s)
Humans , Male , Aged , Toxocara/microbiology , Larva Migrans, Visceral/diagnosis , Liver Diseases/parasitology , Toxocara/isolation & purification , Larva Migrans, Visceral/drug therapy , Leukocytosis/diagnosis , Enzyme-Linked Immunosorbent Assay/methods , Magnetic Resonance Spectroscopy , Liver/diagnostic imaging , Liver/parasitology , Albendazole/therapeutic use , Steroids/therapeutic useSubject(s)
Coronavirus Infections/complications , Mediastinal Emphysema/etiology , Pneumonia, Viral/complications , Tomography, X-Ray Computed , Aged, 80 and over , COVID-19 , Comorbidity , Coronavirus Infections/diagnostic imaging , Humans , Male , Mediastinal Emphysema/diagnostic imaging , Oxygen Inhalation Therapy/adverse effects , Oxygen Inhalation Therapy/methods , Pandemics , Pneumonia, Viral/diagnostic imaging , Rupture, SpontaneousSubject(s)
Larva Migrans, Visceral , Toxocara , Aged , Animals , Humans , Larva , Larva Migrans, Visceral/parasitologyABSTRACT
Introducción. Las diferencias de sexo y el carácter (rural o urbano) de las poblaciones determinan en gran medida el abordaje integral de patologías dependientes del tiempo, como el ictus, principal causa de hospitalización y mortalidad femenina en nuestro medio. Objetivo. Determinar si en un área sanitaria rural del Principado de Asturias se ponen de manifiesto las características diferenciales entre mujeres y hombres con ictus. Pacientes y métodos. Estudio descriptivo retrospectivo realizado en el Hospital de Jarrio. Se revisaron variables a través de las historias clínicas informatizadas de los pacientes que sufrieron ictus en 2013. Resultados. Se produjeron 126 altas totales, el 53,2% en las mujeres, que sufrieron la enfermedad con un retraso de cinco años (p < 0,008) en relación con los varones, los cuales fueron más fumadores y consumidores perjudiciales de alcohol (p < 0,000). La demora prehospitalaria no arrojó diferencias de sexo significativas. El trastorno del lenguaje fue el síntoma principal en el grupo femenino (p < 0,008), que registró una puntuación superior en la National Institute of Health Stroke Scale (p < 0,046). Los estudios complementarios, como el Holter (p < 0,04) y la ecografía de troncos supraaórticos (p < 0,02), se realizaron menos en las mujeres, que recibieron un tratamiento principalmente conservador con mayor hidratación parenteral (p < 0,017) y reposo. El grupo femenino sufrió más complicaciones, discapacidad al alta (p < 0,001) y a los tres meses (p < 0,004), y registró porcentajes más elevados de institucionalización posterior (p< 0,005). Conclusiones. Existen diferencias de sexo demográfi cas, en el perfi l de riesgo cerebrovascular, la presentación clínica, el manejo hospitalario y la comorbilidad del ictus en esta población rural, que sugieren áreas de mejora (AU)
Introduction. Sex differences and the (rural or urban) nature of populations largely determine the integrated management of time-dependent pathologies such as strokes, which is the main cause of female hospitalisation and mortality in our setting. Aim. To determine whether any differential characteristics can be observed between male and female stroke patients in a rural healthcare area in the Principality of Asturias. Patients and methods. A descriptive retrospective study was conducted at the Jarrio Hospital. Different variables were reviewed using the computerised medical records of patients who suffered a stroke in 2013. Results. Altogether 126 patients were discharged, 53.2% among females, who suffered the disease with a five-year delay (p < 0.008) with respect to males. These latter smoked more and also drank harmful amounts of alcohol (p < 0.000). The pre-hospital delay did not yield any significant sex differences. Language disorder was the main symptom in the female group (p < 0.008), who scored higher on the National Institute of Health Stroke Scale (p < 0.046). Complementary studies, such as Holter monitoring (p < 0.04) and ultrasound scanning of the supra-aortic trunks (p < 0.02), are conducted less often in females, who mainly received conservative treatment with greater parenteral hydration (p < 0.017) and rest. The female group suffered more complications, disability at discharge (p < 0.001) and at three months (p < 0.004), and recorded higher percentages of subsequent institutionalisation (p < 0.005). Conclusions. There are demographic sex differences in the cerebrovascular risk profi le, clinical presentation, hospital management and comorbidity of stroke in this rural population, which suggest that there are areas where there is room for improvement (AU)
Subject(s)
Humans , Male , Female , Aged , Sex Distribution , Stroke/complications , Stroke/epidemiology , Stroke/prevention & control , Language Disorders/complications , Cerebrovascular Disorders/complications , Institutionalization/methods , Institutionalization/statistics & numerical data , Risk Factors , Hospitalization/statistics & numerical data , Hospitalization/trends , Retrospective Studies , Rural Population/statistics & numerical data , Comorbidity , 28599 , Analysis of Variance , Secondary Prevention/methodsABSTRACT
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